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Retired NBME 20 Answers

nbme20/Block 2/Question#7 (reveal difficulty score)
A 30-year-old man comes to the physician ...
Increased osteoclast maturation and activity 🔍 / 📺 / 🌳 / 📖
tags: endo PTH

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 +11  upvote downvote
submitted by cafeaulait(11)
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I ieeevlb tsih mset aym eb frgrnenii NME 1 sndomyre - slbesipo orsgmnaiat cpp(eit lruec aeedsis xd,) arapryoitdh m,eaoand nda iyuttapri oanaedm s(uiagnc D)IHS.A t,uB you ntd'o ened ot evne know htsi to get stih ghtri - jtus kainsg the fetcef fo hihg THP on teh stseym - saeucs anidresec otlossecta tciytvia as elwl sa r.otinuamat

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fatboyslim  ehT tssmmopy fo isht ttanpie era due ot ycpmaeilhaecr s,(toens nbes,o no,sgra NETHOSR aerinsed[c uesdir},is dan cscirtaiyph rtoseve.no) epaHrlecicyam anc osla cusae ictepp ulcre esaise.d So teh riypmar atlyohogp is radhproytai polsh/areaemidpayna cnsaiug eth eiclpaahcyemr +6
beetbox  Dose anneoy nwok twash' up thiw hte no' aotsmirnbaile ni umhrseu Dy?ri'daX etyh ujst wtroh that ni rof on er?anos I ogt khodeo on ,ti I ohthugt htree was no rceieadsn sotsoectal .v.itti.yca eisetorwh the ictlarco senbo dwoul ehav eben odldy ihtn ro gheoitsmn +4
topgunber  MEN 1 - P P P . arPda,rioyht nacrnie(tgpsaars ni itsh aces,) uttypairi ilsnoe. nto eky to wnegsanri htis ions.tu teqp osecm with sptmmoys of eah,amccepryil om,sna snar,go rnestoh nig,)ee(p scyph o soon.ovtrekeL at pht nad .icuclma ew ees hihg ac nad hhgi ph.t We konw ttha hgih lcamuic olwud woelr ...itshhtp ansme eth ihgh lcuaimc asw edu to eht ghih pth ie(.. aytarrpidho onse)amaeunoi tdQ is luyatalc sankgi: ahtw are hte fefcets fo ?PTH ,a c, topeposi of T DHP adn E i eeidlvbe rna'et adrltee ot -PHTnBsuS od nsimgoeth ielk hte nhoeptaeissg of eieyhr uirod-smpsayaFopthpd we nlfidtyeei know atht TPH ssacneire Ca , so by isricangen clostotsae tiarntc/tayimuavito uyo biaretle auclcim tnoi het lo.bod this is the best e.nraws +3


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 +4  upvote downvote
submitted by laminin(18)
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nac neomoes aepnxli yhw it ysas eh has na tca'tn'i PTH n.iioetcrntan.os.c ti ot lte us wnok ahtt hte HTP oncoenatnitrc si a urltes fo t ay?ahoonpgld hwt'as shi d?x !tashnk

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yotsubato  I eawsr they meka pu esmo of htis tusff. eiLk hwtas up hwit eth hsir,tt niniu,troa nda ctpiep elruc esssaie.d +9
redvelvet  elcymciprahae can uesac niohpgreenc debtesia d;snipuis so ,tstrih ortunn.iai cheplaraemcyi cna olas asecu peticp recul aids.ees sHi smsyomtp era lla outab cciermaahlype ude to iptmihyparrdhr.saeyo +4
namira  aap"eicHermlcy nca uceas nreal dnfcoitusny hcus sa hepcrnegoin adsetbie upsidinsi DNI,() tub eth mshiansecm enygdruiln dernailccmhedyeaupi-c NID rea ont lelw ues"oor dndt.d1-35rnphi5tny/(tlt/rwu4l7eakctle8tn//aowiown9368xf:i0t)0Ss-r/.e0-e.20gtial +2
dulxy071  hyW cnat' the ortcecr renswa eb )C ciwhh noistp arstdwo nlrea erl,ifau hcihw yma edla to csneaoryd htmpapohiraiyeyrsdr nhviga the emas elstsru I eivelbe +2
pmofmalasia  Teh yaonesdcr yrrmitraoepdahyhisp ni naerl uilaefr is due ot osls of cmucali ni teh it-innfnnuoocgn iedyn.k nI stih iunetqso eth clmcuia asw edl,vteea os oyu acn rleu uot aelnr irulefa. +1
sars  eyec-imrHaplca scsuae osesnt aulcmci( nsto),es oasngr tco(inspno,tai) nrhotes ecsdia(nre iu)nnor,ait noebs srne(deica lssoaetotc a,o)tiivtnca nad cyipriacsht seooetrnv .nree(oissdp) +1
epiglotitties  b@tstuyoao loas sa oeesomn enendiomt in thenoar mnem,tco i tinkh h'yeter ghtniin atth het xp gmthi hvae N.EM1 tarodaiPryh splaihepyr-a ahi,lmeyeprcca ypattuiir -noaaedm HIASD hnti+ttui,r)r(siaon and citaneacpr o-rumt ntamagrsoi (itepcp lucre sidseea) +


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 +2  upvote downvote
submitted by killme(14)
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The tnoccpe negbi detste si what" eosd TPH do htat adesl to clai eyracphme"3ib/omgsj/di/ac.tKt:h.be.V/psignpP

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yotsubato  uhg, .tubihlsl I was tngiyr ot efugir otu an ctlaua eaediss rsepcos h.ree +7
rio19111  sti yrrampi ihtmhrpsayryodepari eacdsu by haardiptryo emd.aona dantdiio of the eptcip ceulr sgusget nrZeoligl gt--;&- 1MNE tbu neno fo htat is pim eebcuas 'sttha ton tawh ethy rea sakgin. lAl yeth aer kgiasn rof si hte itnocnfu fo HTP. +3
topgunber  NME 1 - P P P . rdtaPoyh,ria nane(giastsraprc in iths sca,e) tiityprua eiln.so not kye ot grnanseiw shit si.t quepotn eomsc thiw mmsyotps of rahimpleeycac, oms,na rnaso,g ternsoh e)npi,eg( phscy oonLvokerto s.e at hpt dna cialum.c we ees ihgh ca dna hghi t.ph eW wnko tath hhgi cicualm dwoul owrel th.ts.pih. emsan the ihhg umalcci wsa eud to eht high htp .ie.( yrphiraaodt ute ieano)sndoQma is aluclayt angs:ik htwa rea the seftfec of TH?P ,a ,c ptseioop fo DPHT adn E i eldbevie 'tnaer aterdel ot uosPBS-dT Hn igtnomhes ikle hte gissoantehep of -dytmaep ooprseurspFhayhdii ew dtfyineiel know that HPT ascesneir Ca , so yb sgienincar tscsoatelo attcanaoyrit/uimtvi uyo leiatebr mlacicu itno hte blo.od this si eht steb .swnare +1


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 +2  upvote downvote
submitted by sympathetikey(1600)
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In tndoiiad ot THP = stscoleoat iictvaty = ncdearise ciacu,lm hsti neprso ludoc aols eb nigbhtixie pytmssmo of .N1ME

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topgunber  MNE 1 - P P P . ahoardyitP,r erncsiatgsra(anp in thsi ea,cs) taruitipy ise.lno not yek to siwgenanr tsih o ttu.ispneq mesoc ithw ympmtsso fo ceiamceylhp,ar maso,n ar,snog onsthre ngi(eep,) spcyh eeLkvotoonr. os ta pht nad li.macuc ew see hhig ac nad high ht.p We nkow atth high ciclmua dluow orlwe pthi..s.th sanem eth ighh caimclu asw edu ot hte ihgh hpt (..ei dryoatpairh mds)e uQenaioonta si ulacatyl kgsi:an htaw are eht tfeescf of TH?P a, ,c psteopoi fo PDHT nad E i leevebdi anre't deetral ot n -SBoHPsdTu mnosthgei ikel teh siegpteahosn of ppah Fieeupdayromyhds-rsoti we edliyetinf kwon ahtt HPT anesercsi Ca , os yb eiignscrna sotatscelo ttay/ruttiioiamncva uoy iblteaer mluiacc otin eth blo.do shit is teh tebs n.awsre +1


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 +1  upvote downvote
submitted by rio19111(16)
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tis yiapmrr peyiarythrahdspimro seadcu yb rayhaprtodi .madnoae iiddaotn of eth ptcepi cuelr ugetsgs ielngorlZ g--&-;t NE1M

utb enno fo htta is mip eaeucbs satht' ont thwa tyhe rea igakn.s All yeth rea isankg for is teh funicton of .THP

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rio19111  tns,Seo a,rongs rn,hesot ciaihstrycp ntrsoeevo -&;-gt- mpstmsyo +1
topgunber  ENM 1 - P P P . yr,idraPoaht epnrstnaagai(src in hsit ,ca)es uayptitri nsl.eio otn eyk to nwrengsia ihst sinepq .ottu omcse tihw soytmpms of ehlyipemarac,c ,oansm so,gran trosehn n,()eigpe ycshp torseooLnvke. o ta hpt nad milcu.ca we ese high ac and ihhg pth. We kwno ttah ihgh luaccmi ulwod reowl h..sthpi.t aesnm eth hghi cmluiac was ued ot teh ighh pht i(..e oidraprhyta snout deQme)ionaa si talualcy s:gnika ahtw are teh eseftfc of TH?P ,a c, ipopesot fo H TDP nda E i edibeelv arn'te redaelt to sdSuo B-PTnH iehgmstno elki het ahtiseopgsne of siepdypye- Foorhapurmiasdth ew diytefnlie nwko thta THP casneeirs aC , so by iigennscra ectssoatlo ytc/aionttvmaiirtau uyo aibrtele cmailcu oitn teh dlo.bo isht is eht tbse anw.ser +1


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 +0  upvote downvote
submitted by nwinkelmann(366)
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soDe oanney wokn teh aicsncgeiifn fo meconoty mot?itily

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 +0  upvote downvote
submitted by arthur_albuquerque(1)
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haWt lepdhe em ot sneawr shti eon equit aelsiy wsa eth wolilnfog aae:olitnr

mraeyiaepHccl + hihg PTH tg-;& myrra"ip erodihr"ypaiprthymsa

wHo do hgih TPH lade to cyeipmarhecal? ncaesiIgnr saottlscoe actvyti!i

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 +0  upvote downvote
submitted by topgunber(68)
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MEN 1 - P P P . Pyrd,oraaiht (nainassgtaceprr ni isth ,csea) tiypitura .oilnse not kye ot anerwings htsi uq.soitne

pt scemo thwi ymmostps fo apeaymc,celrhi am,sno oa,srgn ehortsn )pein(,eg cpsyh ernos.voet

Lkoo ta pht adn acumi.lc ew see hghi ac dna high p.th eW kwno taht ihhg uamccli owldu lrowe t.it..sphh masen teh hhig clcuima aws deu ot teh hgih thp (ei.. adtraohpriy )mdeanao

teuosniQ si yaallctu i:akgsn wath ear teh tcsefef fo PT?H a, c, opspieot of HTP

D dan E i vbdeelie tnrea' deltear to HPT

u-BoSnds genhoitms leik het goinseathesp of huepidtrsihyoaoesypprdam

F- ew diteynilfe wnko ahtt HTP sceiraens aC , os yb iicerangsn oosactslet itu/ityicmtrnatovaa uyo ltreaieb cauiclm nito teh oo.bdl this si teh stbe rnes.wa

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